HomeMy WebLinkAboutPermit Permanent Sign SN-92-897 - AUTOSPORTOffice Copy
SIGN APPLICATION
CITY OF SOUTH BURLINGTON, VERMONT
Date 19!/' Permit Number
Applicant
No. Street
57.
Town or City State Phone No.
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INV. .l %,L GG I-_ -
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Square footage of sign (.p- 1.,,L.L Height of Sign 117
Estimated cost D Date of erection
Name of Erector
(�1r�
Town or C
Name of busi
Consent of Owner:
Address
State Phone No.
The above named person .is duly authorized to make
application on my behalf. I believe `t statements contained
he in are true t ,the -best of my kn d e-. -
ignature of Ap ica Si ature of Owner
DO NOT WRITE BELOW THIS LINE
Application: REJECTED APPROVE Date ,l k-
Reason for rejection look
Issued to I I
Fee Computation S- �,Z Code Officer
Date �/ 19 C
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